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NPI 1770636631

NPI 1770636631 : GRUPO MEDICO MENONITA : AIBONITO, PR

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General NPI Number Information
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    NPI Number           |    1770636631
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    Entity Type          |    Organization 
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    Legal Business Name  |    GRUPO MEDICO MENONITA 
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Dates
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    Enumeration Date     |    01/22/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    HOSPITAL MENONITA AIBONITO 
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    City                 |    AIBONITO
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    State                |    PR
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    Zip                  |    00737
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    Country              |    US
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    Telephone            |    787-535-1001
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 373130 
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    City                 |    CAYEY
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    State                |    PR
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    Zip                  |    00737
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    Country              |    US
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    Telephone            |    787-535-1001
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR FINANZAS CORPORATIVA
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    Name                 |     JULIO  COLON 
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    Credential           |    
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    Telephone            |    787-535-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    146D00000X
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    Taxonomy Name        |    Personal Emergency Response Attendant
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    License Number       |    
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    License Number State |    
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